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    Blood Transfusion

    Uploaded by

    Drmirfat Alkashif
    This document provides a checklist and procedure for administering a blood transfusion, which involves transferring blood or blood products from a donor into a recipient's bloodstream. The key steps include preparing equipment, identifying the blood product, warming and hanging the blood bag, monitoring the patient's vital signs during the transfusion, and watching for any complications or adverse reactions. The main purposes of a blood transfusion are to replace lost blood cells, increase oxygen carriage, and restore circulatory volume. Potential complications include clotting issues, electrolyte abnormalities, hypothermia, allergic reactions, and acute hemolytic reactions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Blood Transfusion

    Uploaded by

    Drmirfat Alkashif
    15 views4 pages
    This document provides a checklist and procedure for administering a blood transfusion, which involves transferring blood or blood products from a donor into a recipient's bloodstream. The key steps include preparing equipment, identifying the blood product, warming and hanging the blood bag, monitoring the patient's vital signs during the transfusion, and watching for any complications or adverse reactions. The main purposes of a blood transfusion are to replace lost blood cells, increase oxygen carriage, and restore circulatory volume. Potential complications include clotting issues, electrolyte abnormalities, hypothermia, allergic reactions, and acute hemolytic reactions.

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    This document provides a checklist and procedure for administering a blood transfusion, which involves transferring blood or blood products from a donor into a recipient's bloodstream. The key steps include preparing equipment, identifying the blood product, warming and hanging the blood bag, monitoring the patient's vital signs during the transfusion, and watching for any complications or adverse reactions. The main purposes of a blood transfusion are to replace lost blood cells, increase oxygen carriage, and restore circulatory volume. Potential complications include clotting issues, electrolyte abnormalities, hypothermia, allergic reactions, and acute hemolytic reactions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views4 pages

    Blood Transfusion

    Uploaded by

    Drmirfat Alkashif
    This document provides a checklist and procedure for administering a blood transfusion, which involves transferring blood or blood products from a donor into a recipient's bloodstream. The key steps include preparing equipment, identifying the blood product, warming and hanging the blood bag, monitoring the patient's vital signs during the transfusion, and watching for any complications or adverse reactions. The main purposes of a blood transfusion are to replace lost blood cells, increase oxygen carriage, and restore circulatory volume. Potential complications include clotting issues, electrolyte abnormalities, hypothermia, allergic reactions, and acute hemolytic reactions.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Checklist for Administration of Blood (Blood transfusion)

    Definition
    A blood transfusion is the transfer of blood or blood products from one person
    (donor) into another person's bloodstream (recipient). This is usually done as a
    lifesaving maneuver to replace blood cells or blood products lost through severe
    bleeding, during surgery when blood loss occurs or to increase the blood count in
    an anemic patient.

    Purpose or Indication- Transfused red blood cells (RBCs) provide three


    beneficial effects: Circulatory (volume-related), rheological (viscosity-related) and
    oxygen carriage.
    Procedure steps Done /
    not
    done

    1. Prepare the Equipment:


     Blood product.
     Blood administration set
     IV stand.
     0.9% N/S
     IV cannula (large).
     Disposable gloves.
     Tape.
    Procedure:

    1. Ask if the patient has had a transfusion or a transfusion reaction in


    the past.
    2. Explain procedure to patient. Advise patient to report any chills,
    itching, rash, or unusual symptoms.
    3. Obtain blood product from blood bank (according to agency
    policy).
    4. Complete identification and checks as required by agency:
     Identification number.
     Blood group and type.
     Expiration date.
     Patient's name.
     Inspect blood for clots.
    5. Check for order and signed consent for transfusion (according to
    the policy).
    6. Warm the blood (covering the blood unite with blanket).
    7. Wash your hands and put on clean gloves.
    8. Hang container of 0.9% normal saline with blood administration
    set to initiate IV infusion and follow administration of blood. Start
    flow of normal saline.
    9. Take baseline vital signs before beginning transfusion (notify Dr
    If abnormal).
    10.Start infusion of the blood product:
     Fill in-line filter with blood.
     Start administration slowly (no more than 25- 50 mL for the first
    15 minutes). Stay with the patient for the first 5-15 minutes of
    transfusion.
     Check vital signs /5 minutes for the first half hour after the start of
    the transfusion and then / 1/2 hour or hour after the transfusion
    depending on agency policy. Any change in vital signs during the
    transfusion may indicate a reaction.
     Increased infusion rate (If no adverse effects during the first half
    hour).
     Observe patient for flushing, dyspnea, itching, rash.
    11.Maintain the prescribed flow rate as ordered.
    12.Stop blood transfusion and allow saline (prevents hemolysis of
    red blood cells and wash the blood in IV line) to flow if you
    suspect a reaction. Notify physician and blood bank.
    13.When transfusion is complete, infuse 0.9% normal saline.
    14.Record administration of blood and patient's reaction. Return
    blood transfusion bag to blood bank (according to agency policy).
    Complications

    1. Clotting abnormalities

    2. Hypocalcemia

    3. Hyperkalemia

    4. Hypothermia

    5. Allergic reactions

    Transfusion specific complications

    1. Acute hemolytic reaction

    2. Urticaria

    3. Hypo tension

    4. Fever

    5. Dyspnea

    6. Fluid overload

    Late

    1. Iron overload
    2. Infection

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